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* 1. Hi! I'm so glad you're here. Let's get your basic information down:

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* 2. How did we connect? Social media platform, friend or client referral, partnership, etc.

If you're a referral from a current or former client, please drop their name!

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* 3. Tell me a bit about yourself and your growth journey so far. Please be as descriptive as possible, including any of the following:
  • How anxiety shows up in your life & its current impact
  • How you would like to show up for yourself
    • How do you want to feel?
    • What do you want to create or achieve in this life?
  • What (if any) inner work you have explored
    •  For example: therapy, workshops, specific practices, etc
  • Any awarenesses you'd like to share that are relevant to coaching. For example:
    • "I realized I need to quit my job. I want to start my own company but I'm riddled with fear."
    •  "I just learned about anxious attachment and I'm ready to begin addressing it"

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* 4. How do you feel about your life right now? What parts do you love, and what parts would you love to change?

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* 5. Rank in order from high to low: where does anxiety manifest most in your life?

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* 6. Are there other places where anxiety or fear manifests in your life, AND/OR would you like to share any additional information based on your responses to question 5?

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* 7. *Before answering this question, take a moment to close your eyes, breathe deeply, and envision a fully empowered version of yourself: the you that you want to become. As you imagine, take note: How would you speak to yourself? How would you feel? How would you show up in the world? What would you do, say, or create?* 

Now, back to the question:

What currently prevents you from becoming that version of yourself? (For example, "I need more tools", "I need accountability", "I need to process past traumas", "I struggle to believe I'm worthy", etc.)  Please add as much detail as you'd like.

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* 8. Prior Experience: Please share relevant history with outside support such as therapy*, counseling, or coaching.

- What are you hoping to gain by working with a coach?
- Is this your first time working with a coach?
- If you’ve worked with a coach in the past: what worked, and what didn’t?
- If you have (or currently are) working with a therapist, what have you learned about yourself thus far?
- Are you aware of the differences between coaching and therapy? What questions do you have?

* Please note that coaching and therapy are different, often complimentary, forms of support. I always discuss the differences with potential clients during Discovery Calls.

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* 9. Rank your committment to creating change in your life

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* 10. On a scale of 1 - 10 (with 10 being the MOST ready), how ready are you to financially invest in your growth?

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 11. Any other information you'd like to share before submitting your application? :)

I will reach out to set up a meeting if there is mutual alignment. Thank you for your interest in coaching, and I look forward to speaking with you soon! 

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